Journal article

Effect of bicalutamide on serum total testosterone concentration in transgender adults: a case series

LM Angus, QV Hong, AS Cheung, BJ Nolan

Therapeutic Advances in Endocrinology and Metabolism | SAGE PUBLICATIONS LTD | Published : 2024

Open access

Abstract

Background: There is interest in repurposing bicalutamide for gender-affirming hormone therapy, but little data regarding efficacy and safety in the transgender population. Objectives: To determine the effect of bicalutamide on serum total testosterone concentrations and liver function. Given bicalutamide is a pure androgen receptor antagonist, we hypothesized that serum total testosterone concentrations would be higher than the cisgender female reference range and those recommended for transgender individuals in consensus guidelines. Design: Case series. Methods: We identified transgender people attending outpatient clinics who were using bicalutamide for gender affirmation. The primary out..

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University of Melbourne Researchers

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Funding Acknowledgements

The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Dr. Angus is supported by the Australian Commonwealth Government Research Training Program scholarship. A/Prof. Cheung is supported by an Australian Government National Health and Medical Research Council Investigator Grant (#2008956). Dr. Nolan is supported by a Royal Australasian College of Physicians-Endocrine Society of Australia Research Establishment Fellowship.